Background

Although treatments to address cosmetic concerns are common, patients’ self-reported motives for considering such procedures have not been systematically explored.

Objective

To develop a framework of categories to describe patients' self-reported motivations for undergoing minimally invasive cosmetic procedures.

Methods

Face-to-face, semistructured patient interviews were conducted with adult participants who had undergone or were considering minimally invasive cosmetic dermatologic procedures. A qualitative constant comparative approach was used to analyze interview transcripts, yielding themes and subthemes.

Results

A total of 30 interviews were completed. Most patient-reported motivations for cosmetic procedures could be subsumed under 8 general categories (themes): (1) mental and emotional health, (2) cosmetic appearance, (3) physical health, (4) work and/or school success, (5) social well-being, (6) cost and/or convenience, (7) procedural perceptions, and (8) timing of treatment. Many individual motivations in these categories were unrelated to desire for physical beauty. In particular, participants wanted to avoid being self-conscious, enhance confidence, reduce the time and expense required to conceal physical imperfections, and be perceived as capable at work.

Limitations

Only English-speaking patients in the United States were interviewed.

Conclusion

Patient-reported motivations for cosmetic procedures mostly pertained to physical and psychosocial well-being. Indeed, a desire for improved cosmetic appearance was only 1 of the 8 themes revealed through the patient interviews.

中文翻译：

---

患者认为整容手术会影响他们的生活质量：一项针对患者报告的动机的访谈研究

背景

尽管解决化妆品问题的治疗很普遍，但尚未系统地探讨患者考虑这种手术的自我报告动机。

客观的

建立分类框架，以描述患者自我报告的接受微创美容手术的动机。

方法

与接受过或正在考虑采用微创美容皮肤病学程序的成年参与者进行面对面，半结构化的患者访谈。使用定性的恒定比较方法来分析采访记录，产生主题和子主题。

结果

总共完成了30次采访。大多数患者报告的美容手术动机可以归纳为8个一般类别（主题）：( 1）精神和情绪健康，（2）美容外观，（3）身体健康，（4）工作和/或学校成功，（ 5）社会福祉，（6）成本和/或便利，（7）程序感知，以及（8）治疗时机。这些类别中的许多个人动机与对身体美的渴望无关。特别是，参与者希望避免自我意识，增强自信心，减少隐藏身体缺陷所需的时间和费用，并被认为具有工作能力。

局限性

仅采访了美国的说英语的患者。

结论

患者报告的进行整容手术的动机主要与身心健康有关。确实，对改善外观的渴望只是通过患者访谈揭示的8个主题中的1个。